Nonfluoroscopic catheter ablation of cardiac arrhythmias in adults: feasibility, safety, and efficacy

Journal of Cardiovascular Electrophysiology
Mansour RazminiaRichard F Kehoe

Abstract

Catheter ablations are traditionally performed using fluoroscopic guidance, exposing both patients and medical staff to the risks of radiation. Nonfluoroscopic catheter ablation has been used successfully to treat limited types of arrhythmias in children, but whether this approach has broad application in adults is uncertain. The purpose of this study was to evaluate the feasibility, safety, and efficacy of fluoroless catheter ablation in adults being treated for a range of arrhythmias. Retrospective analysis was performed in 2 patient groups (both n = 60): (1) the nonfluoroscopy (NF) group consisting of consecutive adult patients, in which catheter positioning was accomplished exclusively with intracardiac electrograms (IE), electroanatomic mapping (EAM), and intracardiac echocardiography (ICE); and (2) the fluoroscopy (F) group, in which catheter positioning was additionally guided by fluoroscopy. The patients in the F group were selected to match the types of arrhythmias in the NF group. All ablation procedures were performed by one operator. The total procedure time did not differ between groups for any specific type of arrhythmia ablated. Acute procedural success was similar in both groups (NF, 59/60 [98%] and F, 60/60 [10...Continue Reading

References

Jan 1, 1992·AJR. American Journal of Roentgenology·B MooreR A Novelline
Sep 1, 1996·Pacing and Clinical Electrophysiology : PACE·T H ParkB D Lindsay
Dec 1, 1996·Journal of Cardiovascular Electrophysiology·B FischerF I Marcus
Jan 1, 1997·The American Journal of Cardiology·A M RossS Cho
Mar 18, 1999·Journal of the American College of Cardiology·B P KnightF Morady
Apr 5, 2002·The British Journal of Radiology·S L McFaddenP H Shepherd
Sep 6, 2002·Journal of Cardiovascular Electrophysiology·Fabrizio DragoShoshana Leibovich
Jan 15, 2004·Pacing and Clinical Electrophysiology : PACE·Fred Morady
Oct 27, 2004·Circulation·Lars LickfettHugh Calkins
Nov 24, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James A GoldsteinUNKNOWN Interventional Committee of the Society of Cardiovascular Interventions
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Peter L FriedmanSeth J Worley
Jul 22, 2005·International Journal of Cardiology·Madan M Rehani, Pedro Ortiz-Lopez
Jul 13, 2006·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Heidi Luise EstnerClaus Schmitt
Aug 1, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·David SchwartzmanDebra Housel
Apr 18, 2007·Pacing and Clinical Electrophysiology : PACE·Grace Smith, John M Clark
May 9, 2008·Journal of Cardiovascular Electrophysiology·Matthew WrightPierre Jais
Sep 23, 2008·The American Journal of Cardiology·Mark A ClayWilliam T Mahle
Nov 5, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Walid Saliba, James Thomas
Dec 9, 2008·Journal of Vascular and Interventional Radiology : JVIR·Lloyd W KleinUNKNOWN Joint Inter-Society Task Force on Occupational Hazards in the Interventional Laboratory
Dec 17, 2009·Circulation. Arrhythmia and Electrophysiology·John D FergusonJohn P DiMarco
Jul 20, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Vivek Y ReddyAndre D'Avila
Jul 29, 2010·Journal of Cardiovascular Electrophysiology·John D FergusonJohn P DiMarco
Nov 13, 2010·Pacing and Clinical Electrophysiology : PACE·Katja GistJohn Clark
Dec 21, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Christina Y MiyakeJohn K Triedman
Feb 19, 2011·JACC. Cardiovascular Imaging·Francesco F FaletraAngelo Auricchio
Mar 10, 2011·Journal of Cardiovascular Electrophysiology·David BirnieDamian Redfearn
May 26, 2011·Pacing and Clinical Electrophysiology : PACE·Takashi KidouchiKuni Ohtomo
Nov 1, 2004·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Fred Morady

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Citations

Jul 10, 2013·Future Cardiology·Evaldas Giedrimas, Jeffrey J Goldberger
Jan 7, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·J Mauricio SánchezStephen Pieper
Nov 13, 2015·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Jorge RomeroAndrew Krumerman
May 4, 2015·International Journal of Cardiology·Filippo LambertiAchille Gaspardone
Aug 2, 2013·Pacing and Clinical Electrophysiology : PACE·Adel Mina, Nicholas Warnecke
Nov 22, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Felix BourierIsabel Deisenhofer
Feb 5, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Jacques NeelankavilAman Mahajan
Apr 26, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Apinya BharmaneeHarinder R Singh
May 26, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Paula L S EryaziciRichard F Kehoe
Aug 6, 2016·The International Journal of Cardiovascular Imaging·Matevž JanBorut Geršak
Sep 19, 2016·The American Journal of Cardiology·Li YangDao Wen Wang
Mar 10, 2017·Journal of cardiology·Moshe SwissaRami Fogelman
Nov 15, 2017·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Benjamin O'BrienRichard J Schilling
Nov 10, 2015·Journal of Arrhythmia·Riccardo ProiettiVidal Essebag
Feb 8, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Santiago RiveraFelix Ayala-Paredes
May 21, 2019·Pacing and Clinical Electrophysiology : PACE·Hardik PatelChristian Machado
Aug 20, 2019·Journal of Cardiovascular Electrophysiology·Amato SantoroFilippo Lamberti
Apr 26, 2019·European Heart Journal. Case Reports·Damian Charles BalmforthBen O'Brien
Jul 9, 2020·Arquivos brasileiros de cardiologia·Eduardo B SaadLuiz Eduardo Montenegro Camanho
Feb 6, 2017·Pacing and Clinical Electrophysiology : PACE·Mansour RazminiaRichard F Kehoe
Oct 15, 2020·Scientific Reports·Takumi J MatsubaraIssei Komuro
Aug 25, 2021·Journal of Cardiovascular Electrophysiology·Chanavuth KanitsoraphanLeenhapong Navaravong

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